Evidence map›Paper›PMID 23773793›Full record

ArticleBiological psychiatry2013

Changes in the cholinergic system between bipolar depression and euthymia as measured with [123I]5IA single photon emission computed tomography.

Jonas O Hannestad, Kelly P Cosgrove, Nicole F DellaGioia, Evgenia Perkins, Frederic Bois, Zubin Bhagwagar, John P Seibyl, Tristan D McClure-Begley, Marina R Picciotto, Irina Esterlis

Open access · greenAbstract read
In one paragraph

Article in Biological psychiatry, 2013. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers.

0numbers the graph read from it
0cells of the map it votes in
45citing papers in PubMed
2.7field-weighted citation impact, top 10% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

45 citing papers in PubMed, 62 citations in OpenAlex.

  1. Article
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  6. Medial prefrontal cortex acetylcholine signaling mediates the ability to learn an active avoidance response following learned helplessness training.Neuropsychopharmacology : official publication of the American College of Neuropsychopharmacology · 2024
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  17. Mechanisms of Nicotine Addiction.Cold Spring Harbor perspectives in medicine · 2021
    Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors at 2 institutions in 2 countries.

Jonas O HannestadDepartment of Psychiatry, Yale University School of Medicine, New Haven, Connecticut; UCB Pharma SA, Braine-l'Alleud, Belgium.
Kelly P Cosgrove
Nicole F DellaGioia
Evgenia Perkins
Frederic Bois
Zubin Bhagwagar
John P Seibyl
Tristan D McClure-Begley
Marina R Picciotto
Irina Esterlis
Yale University · USInstitute for Neurodegenerative Disorders · US

Funding

SUBSTANCE ABUSEK12DA000167 · NIDA · YALE UNIVERSITY · PI STEPHANIE S O'MALLEY, Marc N Potenza · 1991 to 2026
$17.7M
Cholinergic Contribution to Circuits Underlying DepressionR01MH077681 · NIMH · YALE UNIVERSITY · PI MINEUR, YANN SEBASTIEN, PICCIOTTO, MARINA R · 2006 to 2025
$7.0M
Tobacco Smoking &Nicotinic Acetylcholine ReceptorsR01DA015577 · NIDA · YALE UNIVERSITY · PI COSGROVE, KELLY P. · 2004 to 2013
$3.4M
Role of Beta2-nAChR in Bipolar DisorderK01MH092681 · NIMH · YALE UNIVERSITY · PI ESTERLIS, IRINA · 2011 to 2015
$850k
Cholinergic Contribution to Circuits Guiding Behavioral Responses to StressorsRF1MH077681 · NIMH · YALE UNIVERSITY · PI YANN Sebastien MINEUR, Marina R Picciotto · 2026 to 2026
$838k
Imaging Genetics in Tobacco SmokersK02DA031750 · NIDA · YALE UNIVERSITY · PI COSGROVE, KELLY P. · 2012 to 2016
$634k
Validation of beta2 containing nicotinic acetylcholinergic receptors as a potentiR21MH085198 · NIMH · YALE UNIVERSITY · PI ESTERLIS, IRINA · 2009 to 2010
$383k
NIDA NIH HHS K02 DA031750NIDA NIH HHS K02DA031750NIDA NIH HHS K12 DA000167NIDA NIH HHS K12DA00167NIDA NIH HHS R01 DA015577NIDA NIH HHS R01DA015577NIMH NIH HHS K01 MH092681NIMH NIH HHS K01MH092681NIMH NIH HHS MH077681NIMH NIH HHS R01 MH077681NIMH NIH HHS R21 MH085198NIMH NIH HHS R21MH085198-02NIMH NIH HHS RF1 MH077681
6 · The paper itself

Abstract

backgroundThe cholinergic system is substantially altered in individuals with major depression and is partially restored when depression remits. We quantified the availability of β2-subunit-containing nicotinic acetylcholine receptors (β2*-nAChR) in subjects with bipolar disorder.

methodsTwenty-five subjects with bipolar disorder (15 depressed, 10 euthymic) and 25 sex- and age-matched control subjects had a [(123)I]5IA-85380 single photon emission computed tomography scan to quantify β2*-nAChR VT/fP (total volume of distribution, corrected for individual differences in metabolism and protein binding of the radiotracer). Average VT/fP was compared between groups and correlated with clinical characteristics. Postmortem analysis of β2*-nAChRs was conducted using equilibrium binding with [(125)I]5IA in subjects with bipolar disorder and matched control subjects.

resultsWe showed significantly lower β2*-nAChR availability (20%-38%) in subjects with bipolar depression compared with euthymic and control subjects across all brain regions assessed (frontal, parietal, temporal, and anterior cingulate cortex, hippocampus, amygdala, thalamus, striatum). The postmortem binding study in which endogenous acetylcholine was washed out did not show a statistically significant difference in β2*-nAChR number in temporal cortex of the bipolar depressed and control groups (15% difference; p = .2).

conclusionsWe show that the alteration in the cholinergic system observed during a depressive episode appears to resolve during euthymia. We suggest that lower VT/fP observed in vivo may be due to a combination of higher endogenous acetylcholine levels during depression, which could compete with radiotracer binding to the receptor in vivo, and lower receptor number in bipolar depression. Identification of differences in cholinergic signaling in subjects with bipolar depression may improve our understanding of its etiology and reveal new treatment targets.

Indexed as

Brain ChemistryAdultAzetidinesBipolar DisorderFemaleHumansMalePyridinesReceptors, NicotinicSmokingTomography, Emission-Computed, Single-Photon5-iodo-3-(2-azetidinylmethoxy)pyridineAzetidinesPyridinesReceptors, NicotinicAcetylcholinebipolar disorderdepressionSPECTtobacco smokingβ(2)*-nAChR

Identifiers

PMID23773793
PMCPMC3805761
OpenAlexW1995481789

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.